<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<!-- Java Script Link -->
<script type="text/javascript" src="../js/jquery-ui-1.8.9.custom.min.js"></script>
<script type="text/javascript" src="../js/jquery.ui.datepicker-ko.js"></script>
<script type="text/javascript" src="../js/jquery.autotab-1.1b.js"></script>
<script type="text/javascript" src="../js/jquery.simpledialog.0.1.js"></script>

<!-- Css Link -->
<link rel="stylesheet" type="text/css" href="../css/jquery-ui-1.8.9.custom.css" />
<link rel="stylesheet" type="text/css" href="../css/simple.dilog.css" />
<style type="text/css">
</style>

<!-- Java Script Source -->
<script type="text/javascript">

$(function() {
	
	//Datepicker
	$('#delivery_date').datepicker();
	$('#delivery_btn').click(function(){
		alert(this);
		$('#delivery_date').datepicker('show');
	});
	
	//numeric type
	$('#ship_price, #init_amt, #receiv_amt, #agree_free_amt, #realsale_amt, #usim_amt, #monthdisc_amt, #gift_amt').keyup(function(event) {
		$(this).toPrice().css("text-align","right");
	});
	
	//input text focusing
	$("input:[type=text], textarea, select")
		.bind('focus', function(){
			$(this).addClass('focusing');
		})
		.bind('blur', function(){
			$(this).removeClass('focusing');
		});
	
	//구매유형
	$('input:[name=buy_type]').bind('click', function(){
		clickBuyType($(this).val());
	});
	//고객 종류
	$('input:[name=cust_kind]').bind('click', function(){
		clickCustKind($(this).val());
	});
	//납부방법
	$('input:[name=payment_type]').bind('click', function(){
		clickPaymentType($(this).val());
	});
	//성인인증방법
	$('input:[name=adultAuth_chk]').bind('click', function(){
		clickAdultAuthChk($(this).val());
	});
	
	
	/****************** 
	 * 다이얼 로그 리스트  *
	 ******************/
	//우편번호 검색
	$('#abc').attr('href', 'dialog/zipcode.html').simpleDialog({
		showCloseLabel: false,
		close: function() {
			var addr_1 = $('.addr_1').text();
			var addr_2 = $('.addr_2').text();
			var addr_3 = $('.addr_3').val();
			$('#addr_1').val(addr_1);
			//$('#addr_2').val(addr_2);
			$('#addr_3').val(addr_2 + addr_3);
		}
	});
});


$(document).ready(function() {
	$('#buyType2, #buyType3').css('display', 'none');//구매유형
	$('#lawer').css('display', 'none');//고객유형
	$('#paymentType2').css('display', 'none');//납부방법
	$('#adultAuthChk2').css('display', 'none');//성인인증방법
});

//구매유형 선택시 이벤트 처리
function clickBuyType(type) {
	if(type == 'A' || type == 'D' || type == 'E') {
		$('tr').filter('#buyType1').show();
		$('tr[id^="buyType"]').not('#buyType1').hide();
	}else if (type == 'B') {
		$('tr').filter('#buyType2').show();
		$('tr[id^="buyType"]').not('#buyType2').hide();
	}else if(type == 'C') {
		$('tr').filter('#buyType3').show();
		$('tr[id^="buyType"]').not('#buyType3').hide();
	}
}

//고객 종류 선택시 이벤트 처리
function clickCustKind(type) {
	if(type == 'D') {
		$('tr').filter('#lawer').show();
	}else {
		$('tr').filter('#lawer').hide();
	}
}

//납부정보 선택시 이벤트 처리
function clickPaymentType(type) {
	if(type == 'A') {
		$('tr').filter('#paymentType1').show();
		$('tr').filter('#paymentType2').hide();
	}else if(type == 'B') {
		$('tr').filter('#paymentType2').show();
		$('tr').filter('#paymentType1').hide();
	}else {
		$('tr[id^="paymentType"]').hide();
	}
}

//성인인증방법 선택시 이벤트 처리
function clickAdultAuthChk(type) {
	if(type == 'A') {
		$('tr').filter('#adultAuthChk1').show();
		$('tr').filter('#adultAuthChk2').hide();
	}else {
		$('tr').filter('#adultAuthChk1').hide();
		$('tr').filter('#adultAuthChk2').show();
	}
}
</script>

<!-- Start Content -->
<div id="content">
<form> 
	<table class="rowTable" cellspacing="0" >
		<tr class="subTitle">
			<td colspan='4'><h4 class="subTitle"><span>고객 정보</span></h4></td>
		</tr>
		<tr>
			<th>고객명 </th>
			<td>
				<input type="text" name="cust_name" size="15" class="txtbox" value="" maxlength=20></td>
			<th>고객종류
			<td>
				<input type="radio" name="cust_kind" id="cust_kind1" value="A" checked><label for="cust_kind1">개인</label>&nbsp;
				<input type="radio" name="cust_kind" id="cust_kind2" value="B" ><label for="cust_kind2">개인사업자</label>&nbsp;
				<input type="radio" name="cust_kind" id="cust_kind3" value="C" ><label for="cust_kind3">법인</label>&nbsp;
				<input type="radio" name="cust_kind" id="cust_kind4" value="D" ><label for="cust_kind4">미성년자</label>&nbsp;
				<input type="radio" name="cust_kind" id="cust_kind5" value="E" ><label for="cust_kind5">외국인</label>&nbsp;
			</td>
		</tr>
		<tr>
			<th> 주민번호 </th>
			<td> 
				<input type="text" name="c_jumin1" id="c_jumin1" value="" size="6" maxlength="6"   >-<input type="text" name="c_jumin2" id="c_jumin2" value="" size="7" maxlength="7"   >				
			</td>
			<th> 사업자번호</th>
			<td>
				<input type="text" name="c_office_no" class="txtbox" value="" size="20" maxlength="20"	  > 				
			</td>
		</tr>				
		<tr>
			<th> 주소 </th>
			<td colspan="3">
				<input type="text" id="addr_1" size="3" readonly="readonly">-<input type="text" id="addr_2" size="3" readonly="readonly">
				<input type="text" id="addr_3" size="70" readonly="readonly"><a id="abc"><span class="button black"><button type="button">검색</button></span></a>			
			</td>
		</tr>	
		<tr>
			<th>전화 </th>
			<Td> 
				<input type="text" name="c_tel1" class="txtbox" size="20"   value="" >&nbsp;
				<font color="blue">* 02-000-0000 </font>
			</td>				
			<th> 핸드폰 </th>
			<Td> 
				<input type="text" name="c_tel2" class="txtbox" size="20"   value="" >
				<font color="blue"> * 010-000-0000 </font>
			</td>
		</tr>	
		<tr>						
			<th> 이메일 </th>
			<Td> 
				<input type="text" name="c_email" class="txtbox" size="40"   value="" >
			</td>
			<th> 고객인증 </th>
			<Td> 		
				<select name="c_auth_chk" style="width:120px;">
				<option value=""  selected >::고객인증::</option> 
				<option value="J" >주민 발급일자</option> 
				<option value="M" >운전면허증 번호</option> 
				</select>
				<input type="text" name="c_auth_no" class="txtbox" size="20" value="" >
			</td>
		</tr>
		<Tr>
			<th class="th_a"> 유 치 자  </th>
			<td>
				<select name="dealer_code" style="width:130px;">
					<option value="0">:: 회사 선택::</option> 
					<option value="00001" >한빛텔레콤</option>
					<option value="00002" >봉구통신</option>
					<option value="00003" >미주통신</option>
					<option value="00004" >고창대리점</option>
					<option value="00005" >서울대리점</option>
					<option value="a0004" >광주대리점</option>
					<option value="D0030" >LG U+대리점</option>
					<option value="D0038" >ㄹㅇㄹ</option>
					<option value="H0001"  selected >하이텔랜드</option>
				</select>
				<select name="g_yuchi_m_id" style="width:100px;">
					<option value="0">::: 유치자 :::</option>
						<option value="test"  selected >관리자</option>
						<option value="dhrruddl" >관리팀장</option>
						<option value="wkdehdrjs" >영업팀장</option>
						<option value="rlagmltjs" >청약담당</option>
				</select>
			</td>	
			<th class="th_a"> 상 부 점 </th>
			<td>
				<select name="g_trans_out_dealer" style="width:130px;">
					<option value="0">:: 회사 선택::</option> 
					<option value="a0005" >KTF</option>
					<option value="A0006" >LGT 지사</option>
					<option value="A0007" >SKT 지사</option>
					<option value="D0032" >해운대지사</option>
					<option value="D0033" >여의도지사</option>
					<option value="D0034" >서울지사</option>
					<option value="D0036" >영진</option>
					<option value="D0037" >천호</option>
					<option value="H0001" >하이텔랜드</option>
				</select>
				&nbsp;&nbsp;
				<span class="button black"><button type="button">???</button></span>
				&nbsp;
				<span class="button black"><button type="button">???</button></span>
			</td>
		</tr>
		<tr>
			<th> 상 담 원 </th>
			<td>
				<input type="text" name="g_consult_name" size="15" class="txtbox" value="" maxlength=20 ></td>	
			<th> </th>
			<td> </td>
		</tr>
		<tr class="subTitle">
			<td colspan='4'><h4 class="subTitle"><span>배송지정보</span></h4></td>
		</tr>
		<tr>
			<th> 배송지 주소 </th>
			<td colspan='3'>
				<input type="text" name="ship_zipcd1" class="txtbox" value="" size="3" maxlength="3"    readonly="readonly">-<input type="text" name="ship_zipcd1" class="txtbox"  value="" size="3" maxlength="3"   >
				<input type="text" name="ship_addr" class="txtbox"  value=""  size="70" maxlength="70" readonly="readonly"><span class="button black"><button type="button">검색</button></span>
				<input type="checkbox" name="ship_addr_chk" value="" > <span class='blue'>* 위 주소정보와 동일</span>
			</td>		
		</tr>
		<tr>
			<th class='th_a'>배송정보</th>
			<td>
				<select name="ship_cd"  style="width:120px;" >
				<option value="0"> 배송사 선택 </option>
						<option value="19" >건영택배</option>
						<option value="31" >경동택배</option>
						<option value="16" >고려택배</option>
						<option value="22" >굿모닝택배</option>
						<option value="30" >네덱스택배</option>
						<option value="27" >대신택배</option>
						<option value="4" >대한통운</option>
						<option value="18" >동부익스프레스</option>
						<option value="26" >동원택배</option>
						<option value="9" >로엑스택배(아주택배)</option>
						<option value="7" >로젠택배</option>
						<option value="20" >사가와익스프레스</option>
						<option value="12" >삼성전자 직배송</option>
						<option value="23" >세덱스택배</option>
						<option value="11" >옐로우캡</option>
						<option value="2" >우체국택배</option>
						<option value="8" >우편등기</option>
						<option value="29" >이노지스택배</option>
						<option value="28" >일양택배</option>
						<option value="15" >직배송</option>
						<option value="21" >천일택배</option>
						<option value="17" >하나로택배</option>
						<option value="5" >한진택배</option>
						<option value="10" >현대택배</option>
						<option value="25" >호남화물택배</option>
						<option value="1" >CJ GLS</option>
						<option value="6" >CJ HTH 택배</option>
						<option value="3" >ECLINE</option>
						<option value="14" >EMS</option>
						<option value="13" >KGB택배</option>
						<option value="24" >WIZWID</option>
				</select>
				&nbsp;&nbsp;송장번호<input type="text" name="invoice_no" class="txtbox" value="" size="20" maxlength="20" >
			</td>
			<th>배송날짜 </th>
			<td>
				<input type="text" id="delivery_date" maxlength="10" readonly="readonly">
				<span class="button black"><input type="button" id="delivery_btn" value="달력"></span>
			</td>		
		</tr>
		<tr>
			<th class='th_a'>택배비용 </th>
			<td> 
				<input type="text" name="ship_price" id="ship_price" value="" size="5" maxlength="5" >원			
				&nbsp;&nbsp;<span class='blue'>( 대리점에서 보낸 </span>
				<span class='red'>선불</span><span class='blue'> 택배비 )</span>
			</td>	
		</tr>
		<tr class="subTitle">
			<td colspan='4'><h4 class="subTitle"><span>신청상품</span></h4></td>
		</tr>
		<tr>
			<th>상품선택</th>
			<td>
				<select name="g_article_idx1" >
					<option value="0" > 통신사 선택           
					<option value="312" >SKT</option>
					<option value="313" >KTF</option>
					<option value="314" >LGT</option>
				</select>
				<select name="g_article_idx2" >
					<option value="0" > 제조사 선택 
				</select>
				<select name="g_option_idx" style="width:140px;" >
					<option value="0" > 모델명 </option>
				</select>
			</td>	
			<th> 상품 색상 </th>
			<td>
				<input type="text" class="txtbox" name="g_goods_color" size='20' maxlength='20' value="">
			</td>
		</tr>		
		<tr>
			<th>구매 유형</th>
			<td> 
				<input type="radio" name="buy_type" id="buy_type1" value="A" checked ><label for="buy_type1">신규가입</label>&nbsp;
				<input type="radio" name="buy_type" id="buy_type2" value="B"><label for="buy_type2">번호이동</label>&nbsp;
				<input type="radio" name="buy_type" id="buy_type3" value="C"><label for="buy_type3">기기변경</label>&nbsp;
				<input type="radio" name="buy_type" id="buy_type4" value="D"><label for="buy_type4">전환신규</label>&nbsp;
				<input type="radio" name="buy_type" id="buy_type5" value="E"><label for="buy_type5">에이징</label>&nbsp;
			</td>
			<th>접수일자</th>
			<td>
				<input type="text" name="g_date_yuchi" class="txtbox" size='10' value="2011-02-19" readonly="readonly" >
				<span class="button black"><button type="button">달력</button></span>
				<select name="g_date_yuchi_hour" class='txtbox'>
					<option value="0" >0시 </option>
					<option value="1" >1시 </option>
					<option value="2" >2시 </option>
					<option value="3" >3시 </option>
					<option value="4" >4시 </option>
					<option value="5" >5시 </option>
					<option value="6" >6시 </option>
					<option value="7" >7시 </option>
					<option value="8" >8시 </option>
					<option value="9" >9시 </option>
					<option value="10" >10시 </option>
					<option value="11" >11시 </option>
					<option value="12" >12시 </option>
					<option value="13" >13시 </option>
					<option value="14"  selected >14시 </option>
					<option value="15" >15시 </option>
					<option value="16" >16시 </option>
					<option value="17" >17시 </option>
					<option value="18" >18시 </option>
					<option value="19" >19시 </option>
					<option value="20" >20시 </option>
					<option value="21" >21시 </option>
					<option value="22" >22시 </option>
					<option value="23" >23시 </option>
				</select>
				<select name="g_date_yuchi_minute" class='txtbox'>
					<option value="00" >00분 </option>
					<option value="01" >01분 </option>
					<option value="02" >02분 </option>
					<option value="03" >03분 </option>
					<option value="04" >04분 </option>
					<option value="05" >05분 </option>
					<option value="06" >06분 </option>
					<option value="07" >07분 </option>
					<option value="08" >08분 </option>
					<option value="09" >09분 </option>
					<option value="10" >10분 </option>
					<option value="11" >11분 </option>
					<option value="12" >12분 </option>
					<option value="13" >13분 </option>
					<option value="14" >14분 </option>
					<option value="15" >15분 </option>
					<option value="16" >16분 </option>
					<option value="17" >17분 </option>
					<option value="18" >18분 </option>
					<option value="19" >19분 </option>
					<option value="20" >20분 </option>
					<option value="21" >21분 </option>
					<option value="22" >22분 </option>
					<option value="23" >23분 </option>
					<option value="24" >24분 </option>
					<option value="25" >25분 </option>
					<option value="26" >26분 </option>
					<option value="27" >27분 </option>
					<option value="28" >28분 </option>
					<option value="29" >29분 </option>
					<option value="30" >30분 </option>
					<option value="31" >31분 </option>
					<option value="32" >32분 </option>
					<option value="33" >33분 </option>
					<option value="34" >34분 </option>
					<option value="35" >35분 </option>
					<option value="36" >36분 </option>
					<option value="37" >37분 </option>
					<option value="38" >38분 </option>
					<option value="39" >39분 </option>
					<option value="40" >40분 </option>
					<option value="41" >41분 </option>
					<option value="42" >42분 </option>
					<option value="43" >43분 </option>
					<option value="44" >44분 </option>
					<option value="45" >45분 </option>
					<option value="46" >46분 </option>
					<option value="47" >47분 </option>
					<option value="48" >48분 </option>
					<option value="49" >49분 </option>
					<option value="50" >50분 </option>
					<option value="51" >51분 </option>
					<option value="52" >52분 </option>
					<option value="53" >53분 </option>
					<option value="54" >54분 </option>
					<option value="55" >55분 </option>
					<option value="56" >56분 </option>
					<option value="57"  selected >57분 </option>
					<option value="58" >58분 </option>
					<option value="59" >59분 </option>
				</select>
			</td>
		</tr>
		<tr>
			<th>청약 유형</th>
			<td>
				<select name="g_code_jupsu" style="width:150px;" >
					<option value="0" >청약유형 </option>
				</select>
			</td>				
			<th>요 금 제</th>
			<td>
				<select name="g_code_course_idx" style="width:150px;" >
					<option value="0"> 요금제 선택 </option>
				</select>
			</td>
		</tr>
		<tr>
			<th>상품 약정</th>
			<td>
				<select name="g_code_promise_idx" style="width:150px;">
					<option value="0" >약정선택           
				</select>			
			</td>
			<th class="th_a"> 개통일자 </th> 
			<td>
				<input type="text" name="g_date_gaetong" size='10' class="txtbox" value="" readonly="readonly">
				<span class="button black"><button type="button">달력</button></span>
				<select name="g_date_gaetong_hour" class='txtbox'>
					<option value="0"  selected >0시 </option>
					<option value="1" >1시 </option>
					<option value="2" >2시 </option>
					<option value="3" >3시 </option>
					<option value="4" >4시 </option>
					<option value="5" >5시 </option>
					<option value="6" >6시 </option>
					<option value="7" >7시 </option>
					<option value="8" >8시 </option>
					<option value="9" >9시 </option>
					<option value="10" >10시 </option>
					<option value="11" >11시 </option>
					<option value="12" >12시 </option>
					<option value="13" >13시 </option>
					<option value="14" >14시 </option>
					<option value="15" >15시 </option>
					<option value="16" >16시 </option>
					<option value="17" >17시 </option>
					<option value="18" >18시 </option>
					<option value="19" >19시 </option>
					<option value="20" >20시 </option>
					<option value="21" >21시 </option>
					<option value="22" >22시 </option>
					<option value="23" >23시 </option>
				</select>
				<select name="g_date_gaetong_minute" class='txtbox'>
					<option value="00"  selected >00분 </option>
					<option value="01" >01분 </option>
					<option value="02" >02분 </option>
					<option value="03" >03분 </option>
					<option value="04" >04분 </option>
					<option value="05" >05분 </option>
					<option value="06" >06분 </option>
					<option value="07" >07분 </option>
					<option value="08" >08분 </option>
					<option value="09" >09분 </option>
					<option value="10" >10분 </option>
					<option value="11" >11분 </option>
					<option value="12" >12분 </option>
					<option value="13" >13분 </option>
					<option value="14" >14분 </option>
					<option value="15" >15분 </option>
					<option value="16" >16분 </option>
					<option value="17" >17분 </option>
					<option value="18" >18분 </option>
					<option value="19" >19분 </option>
					<option value="20" >20분 </option>
					<option value="21" >21분 </option>
					<option value="22" >22분 </option>
					<option value="23" >23분 </option>
					<option value="24" >24분 </option>
					<option value="25" >25분 </option>
					<option value="26" >26분 </option>
					<option value="27" >27분 </option>
					<option value="28" >28분 </option>
					<option value="29" >29분 </option>
					<option value="30" >30분 </option>
					<option value="31" >31분 </option>
					<option value="32" >32분 </option>
					<option value="33" >33분 </option>
					<option value="34" >34분 </option>
					<option value="35" >35분 </option>
					<option value="36" >36분 </option>
					<option value="37" >37분 </option>
					<option value="38" >38분 </option>
					<option value="39" >39분 </option>
					<option value="40" >40분 </option>
					<option value="41" >41분 </option>
					<option value="42" >42분 </option>
					<option value="43" >43분 </option>
					<option value="44" >44분 </option>
					<option value="45" >45분 </option>
					<option value="46" >46분 </option>
					<option value="47" >47분 </option>
					<option value="48" >48분 </option>
					<option value="49" >49분 </option>
					<option value="50" >50분 </option>
					<option value="51" >51분 </option>
					<option value="52" >52분 </option>
					<option value="53" >53분 </option>
					<option value="54" >54분 </option>
					<option value="55" >55분 </option>
					<option value="56" >56분 </option>
					<option value="57" >57분 </option>
					<option value="58" >58분 </option>
					<option value="59" >59분 </option>
				</select>
			</td>	
		</tr>
		<tr>
			<th> 가 입 비 </th>
			<td>
				<select name="g_gaip_type">
					<option value="A" selected >일시납</option>
					<option value="B" >분납</option>
					<option value="C" >면제</option>
					<option value="D" >대납</option>				
				</select>
				<input type="text" name="init_amt" id="init_amt" class="txtbox" value="" size="10" maxlength="10" >원				
			</td>
			<th> 개통 상태 </th>
			<td>
				<select name="g_code_gaetong" style="width:150px;">
					<option value=""> ::개통상태::</option>
					<option value="0001" >개통완료</option>
					<option value="0003" >접수중</option>
					<option value="0002" >배송전취소</option>
					<option value="0004" >맞교환</option>
					<option value="0005" >개통보류</option>
					<option value="0006" >배송후취소</option>
					<option value="0010" >접수대기</option>
					<option value="0009" >배송중</option>
					<option value="0008" >접수완료</option>
					<option value="G189" >개통요청</option>
					<option value="0011" >반품완료</option>
				</select>
				<span><img src="/images/button/btn_sms.gif" border="0"></span>
			</td>
		</tr>
		<tr>
			<th> 채 권 료 </th>
			<td>
				<select name="g_bond_type">
					<option value="A" selected >일시납</option>
					<option value="B" >대납</option>
					<option value="C" >분납</option>
				</select>
				<input type="text" name="receiv_amt" id="receiv_amt" class="txtbox" value="" size="10" maxlength="10"   >원	
			</td>
			<th> 단말기 일련번호 </th>
			<td>
				<input type="text" class="txtbox" name="g_phone_num" size='20' maxlength='20' value="" />
			</td>
		</tr>
		<tr>
			<th> 확정 번호 </th>
			<td>
				<input type="text" class="txtbox" name="g_finish_no" size='20' maxlength='20' value=""   >
			</td>
			<th>가입서비스번호</th>
			<td> 
				<input type="text" name="g_service_no" size="20" maxlength='20' class="txtbox" value="" >
			</td>
		</tr>
		<tr>
			<th> 휴대폰 할부기간 </th>
			<td> 
				<input type="text" size='7' name="g_h_month" class='txtbox' maxlength='7' >개월&nbsp;&nbsp;
				약정할인금액 <input type="text" size='8' name="agree_free_amt" id="agree_free_amt" class='txtbox' maxlength='8' value="">원
			</td>
			<th class='th_a'>실판매가(할부원금) </th>
			<td><input type="text" size='7'  name="realsale_amt" id="realsale_amt" class='txtbox' maxlength='7' value="">원 </td>
		</tr>
		<tr>
			<th>유심 정보</th>
			<td>
				<select name="g_usim_chk">
					<option value=""  selected >::선택::</option>
					<option value="선납" >선납</option>
					<option value="대납" >대납</option>
					<option value="면제" >면제</option>
				</select>&nbsp;
				유심번호<input type="text" class="txtbox" name="g_usim_no" size='20' maxlength='20' value="" >&nbsp;
				유심비<input type="text" size='6'  name="usim_amt" id="usim_amt" class='txtbox' maxlength='6' value="">원
			</td>
			<th>개통희망일</th>
			<td>
				<input type="text" class="txtbox" name="g_date_gaetong_hope" size='10' value="" readonly="readonly" >
				<span class="button black"><button type="button">달력</button></span>
			</td>
		</tr>
		<tr>
			<th> 월 할인금액 </th>
			<td> 
				<input type="text" size='8' name="monthdisc_amt" id="monthdisc_amt" class='txtbox' maxlength='8' value="">원 </td>
			<th class='th_a'>해약일자</th>
			<td>
				<input type="text" name="g_date_cancel" class="txtbox" size='10' value="" readonly="readonly" >
				<span class="button black"><button type="button">달력</button></span>
			</td>
		</tr>
		<tr>
			<th> 부가서비스 </th>
			<td colspan='3'>
				<div id="disdate"> </div>	
			</td>
		</tr>
		<tr id="buyType1" class="subTitle">
			<td colspan='4'><h4 class="subTitle"><span>신규가입</span></h4></td>
		</tr>
		<tr id="buyType1">
			<th> 희망 번호 </th>
			<td colspan='3'>
				010 - <input type="text" class="txtbox" name="g_phone_center" size='4' maxlength='4' value=""   > - (1)<input type="text" class="txtbox" name="g_phone_no1" size='4' maxlength='4' value=""   >
				(2)<input type="text" class="txtbox" name="g_phone_no2" size='4' maxlength='4' value=""   >
				(3)<input type="text" class="txtbox" name="g_phone_no3" size='4' maxlength='4' value=""   >(끝번호 4자리)
			</td>
		</tr>
		<tr id="buyType2">
			<td colspan='4'><h4 class="subTitle"><span>번호이동</span></h4></td>
		</tr>
		<tr id="buyType2">
			<th> 사용중인 통신사 </th>
			<td>
				<select name="g_company">
					<option value=""  selected >::없음::</option>
					<option value="A" >SKT</option>
					<option value="B" >KTF</option>
					<option value="C" >LGT</option>
				</select></td>
			<th>사용중인 휴대폰</th>
			<td>
				<input type="text" name="g_use_no1" class="txtbox" size="4" maxlength="4" value="">-<input type="text" name="g_use_no2"  class="txtbox" size="4" maxlength="4" value="">-<input type="text" name="g_use_no3" class="txtbox" size="4" maxlength="4" value="">
			</td>
		</tr>
		<tr id="buyType2">
			<th> 번호이동인증</th>
			<td> 
				<select name="g_auth_type">
					<option value=""> ::: 인증방법 선택 ::: </option>
					<option value="A" > 기존휴대폰 일련번호 뒷 4자리 </option>
					<option value="B" > 3G USIM 일련번호 뒷 4자리 </option>
					<option value="C" > 계좌번호 일련번호 뒷 4자리 </option>
					<option value="D" > 신용카드 일련번호 뒷 4자리 </option>
				</select>
				인증번호 :<input type="text" size='6' name="g_auth_no" class='txtbox' maxlength='4' value="">
			</td>
		</tr>
		<tr id="buyType3">
			<td colspan='4'><h4 class="subTitle"><span>기기변경</span></h4></td>
		</tr>
		<tr id="buyType3">
			<th> 사용중인 휴대폰 </th>
			<td>
				<input type="text" name="g_gigi_no1" class="txtbox" size="4" maxlength="4" value="">-<input type="text" name="g_gigi_no2"  class="txtbox" size="4" maxlength="4" value="">-<input type="text" name="g_gigi_no3" class="txtbox" size="4" maxlength="4" value="">	</td>			
			<th>휴대폰 일련번호</th>
			<td width="250" bgcolor="#FFFFFF">
				<input type="text" name="g_phone_serial" class="txtbox" size="20" maxlength="20" value="">
			</td>
		</tr>
		<tr id="buyType3">
			<th> 휴대폰 회수여부 </th>
			<td>
				<input type="radio" name="g_bannap_chk1" value="Yes" >회수 &nbsp;&nbsp;
				<input type="radio" name="g_bannap_chk1" value="No"  >미회수 &nbsp;&nbsp;
				&nbsp;&nbsp;사유 <input type="text" name="g_bannap_txt" class="txtbox" size="30" maxlength="30" value="">
			</td>
			<th class='th_a'> 휴대폰 반납여부 </th>
			<td>
				<select name="g_bannap_chk">
					<option value="">반납여부</option>
					<option value="반납완료" >반납완료</option>
					<option value="반납요청" >반납요청</option>
					<option value="미반납" >미반납</option>
				</select>
			</td>
		</tr>
		<tr>
			<td colspan='4'><h4 class="subTitle"><span>납부정보</span></h4></td>
		</tr>
		<tr>						
			<th> 납부 정보 </th>
			<td> 
				<input type="radio" name="payment_type" id="payment_type1" value="A" checked  ><label for="payment_type1">계좌이체</label>&nbsp;
				<input type="radio" name="payment_type" id="payment_type2" value="B" ><label for="payment_type2">카드납부</label>&nbsp;
				<input type="radio" name="payment_type" id="payment_type3" value="C" ><label for="payment_type3">지로납부</label>
			</td>
			<th> 청구서 종류 </th>
			<td> 
				<select name="g_check_type" style="width:100px;">
					<option value=""  selected >::: 선택 :::</option>
					<option value="A" >모바일청구서</option>
					<option value="B" >m청구서</option>
					<option value="C" >우편청구서</option>
					<option value="D" >세금계산서발행</option>
				</select>
			</td>
		</tr>					
		<tr id="paymentType1"> 
			<th>은행정보</th>
			<td>  
				<select name="g_bank_cd" style="width:100px;">
					<option value="0" > 지급 은행 
					<option value="1" >한국은행</option>
					<option value="2" >산업은행</option>
					<option value="3" >기업은행</option>
					<option value="4" >외환은행</option>
					<option value="5" >국민은행</option>
					<option value="6" >수협중앙회</option>
					<option value="7" >한국수출입은행</option>
					<option value="8" >농협</option>
					<option value="9" >우리은행</option>
					<option value="10" >조흥은행</option>
					<option value="11" >제일은행</option>
					<option value="12" >서울은행</option>
					<option value="13" >신한은행</option>
					<option value="14" >광주은행</option>
					<option value="15" >새마을금고</option>
					<option value="16" >신협</option>
					<option value="17" >하나은행</option>
					<option value="18" >우체국</option>
					<option value="19" >전북은행</option>
					<option value="20" >대구은행</option>
					<option value="21" >부산은행</option>
					<option value="22" >씨티은행</option>
					<option value="23" >경남은행</option>
					<option value="24" >제주은행</option>
					<option value="25" >스위스 저축은행</option>
					<option value="26" >축협</option>
					<option value="27" >현대증권</option>
					<option value="28" >미래에셋증권</option>
					<option value="29" >대우증권</option>
					<option value="30" >삼성증권</option>
					<option value="31" >한국투자증권</option>
					<option value="32" >우리투자증권</option>
					<option value="33" >하이투자증권</option>
					<option value="34" >에이치엠씨증권</option>
					<option value="35" >에스케이증권</option>
					<option value="36" >한화증권</option>
					<option value="37" >하나대투증권</option>
					<option value="38" >신한금융투자</option>
					<option value="39" >메리츠증권</option>
					<option value="40" >유진투자증권</option>
					<option value="41" >신영증권</option>
					<option value="42" >교보증권</option>
					<option value="43" >산림조합</option>
					<option value="44" >부국증권</option>
					<option value="45" >대신증권</option>
					<option value="46" >동부증권</option>
					<option value="47" >이트레이드증권</option>
					<option value="48" >솔로몬투자증권</option>
					<option value="49" >NH투자증권</option>
					<option value="50" >LIG투자증권</option>
					<option value="51" >키움증권</option>
					<option value="53" >JP 모간</option>
					<option value="54" >도이치뱅크</option>
					<option value="55" >뱅크오브아메리카</option>
					<option value="56" >동양종합금융증권</option>
					<option value="57" >미쓰비시도쿄UFJ</option>
				</select>
				&nbsp;&nbsp;계좌번호<input type="text" name="g_bank_no" class="txtbox" value="" size="30" maxlength="30" >
			<th> 예 금 주</th>
			<td>
				<input type="text" name="g_bank_name" class="txtbox" value=""  size="15" >
			</td>
		</tr>
		<tr id="paymentType1"> 
			<th> 고객과 관계</th>
			<td>
				<input type="text" name="g_bank_relation" class="txtbox" value="" size="15" >
			</td>
			<th>은행 주민번호</th>
			<td>  
				<input type="text" name="g_bank_jumin1" class="txtbox" value="" size="6" maxlength="6"   >-<input type="text" name="g_bank_jumin2" class="txtbox" value="" size="7" maxlength="7"   >
				<input type="checkbox" name="g_info_chk" value="" > <span class='blue'>* 위 정보와 동일</span>
			</td>	
		</tr>
		<tr id="paymentType2"> 
			<th>카드정보</th>
			<td>
				<select name="g_card_cd" style="width:100px;">
					<option value="0"  selected > 카드사 
					<option value="1" >KB카드</option>
					<option value="2" >비씨카드</option>
					<option value="3" >우리카드</option>
					<option value="4" >하나(BC)카드</option>
					<option value="5" >농협(BC)카드</option>
					<option value="6" >삼성카드</option>
					<option value="7" >하나카드</option>
					<option value="8" >한미카드</option>
					<option value="9" >외환카드</option>
					<option value="10" >현대카드</option>
					<option value="11" >신한카드</option>
					<option value="12" >롯데카드</option>
					<option value="13" >씨티카드</option>
					<option value="14" >광주카드</option>
					<option value="15" >산업은행카드</option>
					<option value="16" >수협카드</option>
					<option value="17" >전북은행카드</option>
					<option value="18" >제주은행카드</option>
				</select>
				카드번호 <input type="text" name="g_card_no" class="txtbox" value="" size="30" maxlength="30"    >
			</td>
			<th> 카드 유효기간 </th>
			<td>
				<input type="text" name="g_card_gigan" class="txtbox" value=""  size="10" maxlength=10> <span class='blue'> * 2010년 06월 </span>&nbsp;
			</td>
		</tr> 
		<tr> 
			<th>사은품</th>
			<td colspan='3'>
				<input type="text" class="txtbox" name="g_sp_name" value="" size="15" maxlength="30" >
				금액 <input type="text" class="txtbox" name="gift_amt" id="gift_amt" value="" size="10" maxlength="10" >원 &nbsp;
				지급예정일 <input type="text" class="txtbox" name="g_sp_date_start" size='10' value="" readonly="readonly" >
				<span class="button black"><button type="button">달력</button></span>
				<select name="g_sp_give_type">
					<option value="A" > 유치자 지급 </option>
					<option value="B" > 본자자체 지급 </option>
				</select>
			</td>
		</tr>
		<tr>
			<th> 요금 감면 </th>
			<td colspan='3'>
				<input type="radio" name="g_money_type" value="A" checked >해당없음 &nbsp; &nbsp;
				<input type="radio" name="g_money_type" value="B">장애인 &nbsp;&nbsp;
				<input type="radio" name="g_money_type" value="C">국가유공자 &nbsp;&nbsp;
				<input type="radio" name="g_money_type" value="D">기초수급자 &nbsp;&nbsp;
				<input type="radio" name="g_money_type" value="E">차상위 게층
			</td>
		</tr>
		<tr>
			<td colspan='4'><h4 class="subTitle"><span>성인인증방식</span></h4></td>
		</tr>
		<tr>
			<th> 인증방식 </th>
			<td colspan='3'>&nbsp;
				<input type="radio" name="adultAuth_chk" id="adultAuth_chk1" value="A" checked ><label for="adultAuth_chk1">휴대폰인증</label>&nbsp;&nbsp;&nbsp;
				<input type="radio" name="adultAuth_chk" id="adultAuth_chk2" value="B" ><label for="adultAuth_chk2">신용카드인증 </label>
			</td>
		</tr>
		<tr id="adultAuthChk1">
			<th>휴대폰 번호</th>
			<td>&nbsp;
				<input type="text" name="g_auth_phone_no1" value="" class="txtbox" size="4" maxlength="4">-
				<input type="text" name="g_auth_phone_no2" value="" class="txtbox" size="4" maxlength="4">-
				<input type="text" name="g_auth_phone_no3" value="" class="txtbox" size="4" maxlength="4">&nbsp;&nbsp;
			</td>
			<th> 통신사 </th>
			<td>
				<select name="g_auth_phone_company">
					<option value="" >::통신사::</option>
					<option value="SKT" >SKT</option>
					<option value="LGT" >LGT</option>
					<option value="KTF" >KTF</option>
				</select>
			</td>
		</tr>
		<tr id="adultAuthChk2">
			<th>신용카드 인증</th>
			<td>
				<select name="g_auth_card_cd" style="width:100px;">
					<option value="0"  selected >:: 카드사:: </option> 
					<option value="1"  >KB카드</option>
					<option value="2"  >비씨카드</option>
					<option value="3"  >우리카드</option>
					<option value="4"  >하나(BC)카드</option>
					<option value="5"  >농협(BC)카드</option>
					<option value="6"  >삼성카드</option>
					<option value="7"  >하나카드</option>
					<option value="8"  >한미카드</option>
					<option value="9"  >외환카드</option>
					<option value="10"  >현대카드</option>
					<option value="11"  >신한카드</option>
					<option value="12"  >롯데카드</option>
					<option value="13"  >씨티카드</option>
					<option value="14"  >광주카드</option>
					<option value="15"  >산업은행카드</option>
					<option value="16"  >수협카드</option>
					<option value="17"  >전북은행카드</option>
					<option value="18"  >제주은행카드</option>
				</select>
				카드번호 <input type="text" name="g_auth_card_no" class="txtbox" value="" size="30" maxlength="30"    ></td>
			<th>유효기간</th>
			<td>
				<input type="text" name="g_auth_card_gigan" class="txtbox" value=""  size="10" maxlength=10 >&nbsp;&nbsp;&nbsp;
				비밀번호<input type="text" name="g_auth_card_pwd" class="txtbox"  size="2" maxlength="2" value="">**&nbsp;&nbsp;&nbsp;
			</td>
		</tr>
		<tr id="lawer">
			<td colspan='4'><h4 class="subTitle"><span>법정대리인 정보 (미성년자)</span></h4></td>
		</tr>
		<tr id="lawer">						
			<th>대리인명 </th>
			<td> 
				<input type="text" name="agent_name" size="15" class="txtbox" value="" maxlength="20" >
			</td>
			<th> 주민번호 </th>
			<td> 
				<input type="text" name="agent_jumin1" class="txtbox" value="" size="6" maxlength="6"   >-<input type="text" name="agent_jumin2" class="txtbox" value="" size="7" maxlength="7"   >
			</td>
		</tr>		
		<tr id="lawer">
			<th> 연락처 </th>
			<td> 
				<input type="text" name="agent_tel1" class="txtbox" size="20" value="" >&nbsp;
				<font color="blue">* 02-000-0000 </font>
			</td>				
			<th> 가입자 관계 </th>
			<td> 
				<input type="text" name="agent_relation" class="txtbox" size="20" value="" >
			</td>
		</tr>	
		<tr>
			<td colspan='4'><h4 class="subTitle"><span>첨부파일</span></h4></td>
		</tr>
		<tr> 
			<th>첨부파일1</th>
			<td> 
				<input type="file" name="g_file1" size="20" class="txtbox" >
			</td>
			<th> 첨부 파일2 </th>
			<td> 
				<input type="file" name="g_file2" size="20" class="txtbox">
			</td>
		</tr>
		<tr> 
			<th> 첨부 파일3 </th>
			<td> 
				<input type="file" name="g_file3" size="20" class="txtbox">
			</td>
			<th> 첨부 파일4 </th>
			<td> 
				<input type="file" name="g_file4" size="20" class="txtbox" >
			</td>
		</tr>
		<tr> 
			<th>첨부파일5</th>
			<td> 
				<input type="file" name="g_file5" size="20" class="txtbox" >
			</td>
			<th> 첨부 파일6 </th>
			<td> 
				<input type="file" name="g_file6" size="20" class="txtbox" >
			</td>
		</tr>
		<tr> 
			<th> 첨부 파일7 </th>
			<td> 
				<input type="file" name="g_file7" size="20" class="txtbox" >
			</td>
			<th> 첨부 파일8 </th>
			<td> 
				<input type="file" name="g_file8" size="20" class="txtbox" >	
			</td>
		</tr>
		<tr> 
			<th>기타 내용</th>
			<td colspan='4'>
				<textarea name="g_bigo" rows=5 class="txtbox" cols="60"></textarea>
			</td>
		</tr>					
	</table>
</form>
</div>
